1
|
Petrelli F, Arru M, Colombo S, Cavallone M, Cribiu' FM, Villardita V, Floris P, Digiesi L, Severgnini G, Moraes MT, Conti B, Celotti A, Viti M, Sozzi A. BRAF mutations and survival with surgery for colorectal liver metastases: A systematic review and meta-analysis. Eur J Surg Oncol 2024; 50:108306. [PMID: 38603866 DOI: 10.1016/j.ejso.2024.108306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 03/13/2024] [Accepted: 03/23/2024] [Indexed: 04/13/2024]
Abstract
INTRODUCTION Mutations in the BRAF gene (BRAFmut) are associated with an unfavorable prognosis in patients with metastatic colorectal cancer (CRC). The aim of this meta-analysis was to evaluate the prognosis of colorectal cancer (CRC) patients with liver metastases and the potential benefits of liver resection in patients with BRAFmut CRC. MATERIAL AND METHODS A systematic search of PubMed, Cochrane Central Controlled Trials, and Embase databases was conducted on May 31, 2023. The inclusion criteria were as follows:1) reporting of outcomes in patients with BRAFmut CRC who underwent surgery for liver metastases and/or comparison of outcomes between those who underwent and those who did not undergo resection; 2) reporting of survival information as hazard ratios (HR); and 3) publication in English. RESULTS 34 studies were included. Median follow up was 48 months for prognostic BRAF status meta-analysis. BRAFmut status showed a significantly increased risk of mortality (hazard ratio [HR] = 2.56, 95% confidence interval [CI] 2.04-3.22; P < 0.01) and relapse (HR = 1.97, 95% CI 1.44-2.71; P < 0.01). Resection of liver metastases was associated with a survival benefit (median follow up 46 months). The HR for survival was 0.44 (95% confidence interval [CI] 0.33-0.59; P < 0.01) in favor of surgery. CONCLUSIONS and Relevance: Our analysis indeed confirms that BRAF mutation is associated with poor survival outcomes after liver resection of CRC metastases. However, upon quantitatively assessing the survival benefit of surgical intervention in patients with BRAF-mutated CRC liver metastases, we identified a significant 56% reduction in the risk of death.
Collapse
Affiliation(s)
| | - Marcella Arru
- Surgery Unit, ASST Bergamo Ovest, Treviglio, BG, Italy
| | - Silvia Colombo
- Hepatology Unit, ASST Bergamo Ovest, Treviglio, BG, Italy
| | | | | | | | - Paola Floris
- Surgery Unit, ASST Bergamo Ovest, Treviglio, BG, Italy
| | | | | | | | - Barbara Conti
- Surgery Unit, ASST Bergamo Ovest, Treviglio, BG, Italy
| | | | - Matteo Viti
- Surgery Unit, ASST Bergamo Ovest, Treviglio, BG, Italy
| | - Andrea Sozzi
- Surgery Unit, ASST Bergamo Ovest, Treviglio, BG, Italy
| |
Collapse
|
2
|
Mazzola P, Floris P, De Filippi F. REHABILITATION OUTCOMES OF THE OLDEST-OLD PATIENTS AFTER HIP FRACTURE SURGERY: A PROSPECTIVE STUDY. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- P. Mazzola
- School of Medicine and Surgery, University of Milano-Bicocca, Monza, MB, Italy,
- NeuroMI - Milan Center for Neuroscience, Milano, MI, Italy,
| | - P. Floris
- School of Medicine and Surgery, University of Milano-Bicocca, Monza, MB, Italy,
- Regional Hospital of Valtellina and Valchiavenna, Department of Medicine, Geriatric Rehabilitation and Sub-acute Care Unit, Sondrio, SO, Italy
| | - F. De Filippi
- Regional Hospital of Valtellina and Valchiavenna, Department of Medicine, Geriatric Rehabilitation and Sub-acute Care Unit, Sondrio, SO, Italy
| |
Collapse
|
3
|
Carta D, Casula MF, Floris P, Falqui A, Mountjoy G, Boni A, Sangregorio C, Corrias A. Synthesis and microstructure of manganese ferrite colloidal nanocrystals. Phys Chem Chem Phys 2010; 12:5074-83. [DOI: 10.1039/b922646j] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
4
|
Cotti S, Floris P, Ferreli A, Cafini D. [Clinico-cytological response of the gingiva to a rational brushing technic]. Minerva Stomatol 1986; 35:1185-90. [PMID: 3469504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
|